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Individual
SVETLANA REVUTSKY
Active
Individual
SVETLANA REVUTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000601-1
NY
174400000X
Specialist
Primary
1208095
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/27/2012
Last updated
02/01/2015
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